High prevalence of adherent-invasive Escherichia coli associated with ileal mucosa in Crohn’s disease
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Background & aims Adherent-invasive Escherichia coli (AIEC) pathovar has been identified in the intestinal mucosa of patients with Crohn's disease (CD). AIEC reference strain LF82 is able to adhere to intestinal epithelial cells, to invade epithelial cells via a mechanism involving actin polymerization and microtubules, and to survive and replicate within macrophages. This study was performed to assess the prevalence of AIEC associated with intestinal mucosa of patients with CD, ulcerative colitis (UC), and of controls. Methods A search for E. coli strains was performed with ileal specimens of 63 patients with CD and 16 controls without inflammatory bowel disease (IBD), and with colonic specimens of 27 patients with CD, 8 patients with UC, and 102 controls. The abilities of E. coli strains to invade epithelial cells and to survive and replicate within macrophages were assessed using the gentamicin protection assay. Bacterial uptake by epithelial cells was analyzed using cytoskeletal inhibitors. Bacterial adhesion was quantified with Caco-2 and Intestine-407 cells. The presence of known E. coli virulence genes was assessed by polymerase chain reaction and DNA hybridization. Results In ileal specimens, AIEC strains were found in 21.7% of CD chronic lesions vs. in 6.2% of controls. In neoterminal ileal specimens, AIEC strains were found in 36.4% of CD early lesions (P = 0.034 vs. controls) and 22.2% of healthy mucosa of CD patients. In colonic specimens, AIEC strains were found in 3.7% of CD patients, 0% of UC patients, and 1.9% of controls. Conclusions AIEC strains are associated specifically with ileal mucosa in CD.
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Adherent-invasive Escherichia coli strains are specifically associated with the Crohn's disease ileal phenotype.
“Adherent-invasive E. coli strains are specifically associated with the CD ileal phenotype [40] .”
From Intestinal microbiota in health and disease: Role of bifidobacteria in gut homeostasis (2014) · cites this paper as [40]
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- Authors
- Darfeuille-Michaud, A., Boudeau, J., Bulois, P., Neut, C., Glasser, A.-L., Barnich, N., Bringer, M.-A., Swidsinski, A., Beaugerie, L., & Colombel, J.-F.
- Affiliations
- Université Clermont Auvergne (FR)
- Inserm (FR)
- Université de Lille (FR)
- Humboldt-Universität zu Berlin (DE)
- Assistance Publique – Hôpitaux de Paris (FR)
- Venue
- Gastroenterology
- Publisher
- Elsevier BV
- Published
- 2004-08
- Volume
- 127
- Issue
- 2
- Pages
- 412-421
- ISSN
- 0016-5085 (ISSN-L)
- OpenAlex
- W2153905079
- Cited by
- 1,566
- References
- 52
- Citations by year
- 2026: 54 · 2025: 49 · 2024: 74 · 2023: 82 · 2022: 79 · 2021: 100 · 2020: 79 · 2019: 77 · 2018: 86 · 2017: 70 · 2016: 90 · 2015: 90 · 2014: 90 · 2013: 75 · 2012: 80
- FWCI
- 24.45
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Gastroenterology (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Endocrinology › Escherichia coli research studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Keywords
- adherent-invasive Escherichia coli, Crohn's disease, ulcerative colitis, ileal mucosa, bacterial adhesion, epithelial cell invasion, macrophage survival, actin polymerization, inflammatory bowel disease
- MeSH terms
- Actins, Adult, Bacterial Adhesion, Colitis, Ulcerative, Crohn Disease, Escherichia coli, Escherichia coli Infections, Female, Humans, Ileum, Intestinal Mucosa, Macrophages, Male, Microscopy, Electron, Microtubules, Virulence, Prevalence, Caco-2 Cells
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